dc.contributor.author | Aitken, LM | |
dc.contributor.author | Hendrikz, JK | |
dc.contributor.author | Dulhunty, JM | |
dc.contributor.author | Rudd, MJ | |
dc.date.accessioned | 2017-05-03T13:22:35Z | |
dc.date.available | 2017-05-03T13:22:35Z | |
dc.date.issued | 2009 | |
dc.date.modified | 2010-06-30T06:44:50Z | |
dc.identifier.issn | 0300-9572 | |
dc.identifier.doi | 10.1016/j.resuscitation.2008.10.021 | |
dc.identifier.uri | http://hdl.handle.net/10072/28581 | |
dc.description.abstract | Aim This study aimed to determine factors linked to hypothermia (<35 é in Queensland trauma patients. The relationship of hypothermia with mortality, admission to intensive care and hospital length of stay was also explored. Methods A retrospective analysis of data from the Queensland Trauma Registry was undertaken, and included all patients admitted to hospital for =24 h during 2003 and 2004 with an injury severity score (ISS) > 15. Demographic, injury, environmental, care and clinical status factors were considered. Results A total of 2182 patients were included; 124 (5.7%) had hypothermia on admission to the definitive care hospital, while a further 156 (7.1%) developed hypothermia during hospitalisation. Factors associated with hypothermia on admission included winter, direct admission to a definitive care hospital, an ISS = 40, a Glasgow Coma Scale of 3 or ventilated and sedated, and hypotension on admission. Hypothermia on admission to the definitive care hospital was an independent predictor of mortality (odds ratio [OR] = 4.05; 95% confidence interval [CI] 2.26-7.24) and hospital length of stay (incidence rate ratio [IRR] = 1.22; 95% CI 1.03-1.43). Hypothermia during definitive care hospitalisation was independently associated with mortality (OR = 2.52; 95% CI 1.52-4.17), intensive care admission (OR = 1.73; 95% CI 1.20-2.93) and hospital length of stay (IRR = 1.18; 95% CI 1.02-1.36). Conclusions Trauma patients in a predominantly sub-tropical climate are at risk of accidental and endogenous hypothermia, with associated higher mortality and care requirements. Prevention of hypothermia is important for all severely injured patients. | |
dc.description.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.format.extent | 129305 bytes | |
dc.format.mimetype | application/pdf | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.publisher.place | Ireland | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | 217 | |
dc.relation.ispartofpageto | 223 | |
dc.relation.ispartofissue | 2 | |
dc.relation.ispartofjournal | Resuscitation | |
dc.relation.ispartofvolume | 80 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Acute care | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 420501 | |
dc.title | Hypothermia and associated outcomes in seriously injured trauma patients in a predominantly sub-tropical climate | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.rights.copyright | © 2009 Elsevier Ireland Ltd.. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version. | |
gro.date.issued | 2009 | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Aitken, Leanne M. | |